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Suggest treatment for recurrent genital infection

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Posted on Mon, 25 May 2015
Question: i have suffering from itching in genital area , and skin cracks on penis. cracks are painful . i have used candid b lotion and got relief in 2-3 days but after 9-10 days cracks comes on penis.
i have suffer since 1 year .
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Answered by Dr. Chintan Solanki (33 minutes later)
Brief Answer:
Need to search for sytemic cause,evalaution of partner is needed

Detailed Answer:
Hello Mr. XXX,

Thanks for writing to us.

You are suffering from recurrent genital infection which is likely fungal infection.

Candid B Lotion contains Clotrimazole(antifungal) & Beclomethasone diproprionate(strong steroids for relief). THiese medicines can cause relief of symptoms but they do not cure the problems they work topically.


Common causes of recurrent genital infection are:

-Uncircumcised men with poor hygiene - men who have not been circumcised have a moist, dark, warm space underneath the foreskin that is favorable for yeast growth if he is not bale to maintain good hygiene over there

- Female partner having history of recurrent genital infection and intercourse with female without condom.

- Diabetes - this is a risk factor because high blood glucose levels promote the yeast and affect immune defenses
-Antibiotics Use of higher antibiotics for any systemic physical problem

-Corticosteroids - these drugs are associated with a higher risk of fungal infection

- Immuno suppression - weakened immunity reduces the body's defence against the fungus and so allows Candida to thrive. Examples are HIV,cancer.

You should undergo blood check up like fasting blood sugar, urine routine micro and culture, CBC,STD(sexually transmitted disease profile) and your partner should also be evaluated.

Also let me know some details:

- Have you ever consulted doctor/dermatologist? If yes, provide me his/her opinion? If not please visit dermatologist as soon as possible.

- Do not use Candid B on your own. Probably your infection has became resistant to it and use of it may worsen the situation due to steroids.

- From above possibilities do you think that any one is there in your case?

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Chintan Solanki (1 hour later)
i have told you my disease but the solution is not clear why you ad for online consultancy, if i have to go any doctor/dermatologist then why i contact you & pay for it. so please give appropriate solution.
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
we are here to help and guide you in right direction

Detailed Answer:
Hello Mr.XXXX,

Thanks for follow up.

I can understand your confusion. I expect that you have read terms and conditions of using this site. We are here to answer your health related query, help and guide you in right direction for your treatment.

In skin conditions, diagnosis is made on basis of history, physical examination and/or required investigations. You are suffering from recurrent problem since 1 year. And in this situation normally one should consult doctor for treatment. I have already provided list of required investigations to reach to some diagnosis as your problem is recurrent.

Miconazole ointment is good enough for now. Get the tests done to rule out causes of recurrent infection. Keep local hygiene and wash the area often. Take hygienic diet.

I hope you are clear about your doubts now and would like to hear from you with investigation reports.

Take care.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest treatment for recurrent genital infection

Brief Answer: Need to search for sytemic cause,evalaution of partner is needed Detailed Answer: Hello Mr. XXX, Thanks for writing to us. You are suffering from recurrent genital infection which is likely fungal infection. Candid B Lotion contains Clotrimazole(antifungal) & Beclomethasone diproprionate(strong steroids for relief). THiese medicines can cause relief of symptoms but they do not cure the problems they work topically. Common causes of recurrent genital infection are: -Uncircumcised men with poor hygiene - men who have not been circumcised have a moist, dark, warm space underneath the foreskin that is favorable for yeast growth if he is not bale to maintain good hygiene over there - Female partner having history of recurrent genital infection and intercourse with female without condom. - Diabetes - this is a risk factor because high blood glucose levels promote the yeast and affect immune defenses -Antibiotics Use of higher antibiotics for any systemic physical problem -Corticosteroids - these drugs are associated with a higher risk of fungal infection - Immuno suppression - weakened immunity reduces the body's defence against the fungus and so allows Candida to thrive. Examples are HIV,cancer. You should undergo blood check up like fasting blood sugar, urine routine micro and culture, CBC,STD(sexually transmitted disease profile) and your partner should also be evaluated. Also let me know some details: - Have you ever consulted doctor/dermatologist? If yes, provide me his/her opinion? If not please visit dermatologist as soon as possible. - Do not use Candid B on your own. Probably your infection has became resistant to it and use of it may worsen the situation due to steroids. - From above possibilities do you think that any one is there in your case? Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.